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3rd Grade Student Information
Please fill out the information in this form in order to help me get to know your child better through your eyes! ♥
Email *
                                             INFORMATION ABOUT YOUR CHILD
What is your child's full name? *
What is your child's nickname (what do they like to be called in class)? *
Dismissal Routine *
Siblings that attend our school or other school? *
Please type the child's mother's first and last name. *
Mother's cell phone number *
Mother's Email address *
Please type the child's father's first and last name. *
Father's cell phone number *
Father's email address *
Home Phone Number *
Child's Address *
Please list any FOOD ALLERGIES your child has: *
Any Medical Concerns/Medications Taken? *
How well do you feel your child reads? *
below grade level
above grade level
How well does your child do in math? *
below grade level
above grade level
Please let me know information about your child that will help me be a better teacher for him/her:  (ex. your concerns or goals, peer relations, work habits, hobbies/talents,fears or insecurities,  academic strengths or weaknesses)
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